PENINSULA PLASTIC SURGERY, P.C.
NPI 1396991675
Specialist in Georgetown, DE

Active since August 18, 2008
20930 DUPONT BLVD, 201 GRAY STONE TOWERS, GEORGETOWN, DE 19947(410) 546-0464(410) 546-8529 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peninsula Plastic Surgery, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA PLASTIC SURGERY, P.C. (NPI 1396991675) is a healthcare organization registered as a specialist in Georgetown, Delaware and active in the NPI registry since August 2008. The organization lists Jill G Taylor, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1396991675
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePENINSULA PLASTIC SURGERY, P.C.
Location Address20930 DUPONT BLVD, 201 GRAY STONE TOWERSGeorgetown, DE 19947-1725
Mailing Address314 W Carroll St, Suite 1Salisbury, MD 21801-5409 · (410) 546-0464 · Fax (410) 546-8529
Fax(410) 546-8529
Organization SubpartNo
Authorized OfficialJill G TaylorBilling Manager · (410) 546-0464
Enumeration DateAugust 18, 2008
Last NPPES UpdateSeptember 13, 2013
NPI 1396991675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in DE · 1997115585
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

20930 DUPONT BLVD, Georgetown, DE 19947

Other Identifiers 2

Medicare PING00029DE
Medicare OSCAR/certificationG00902DE

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
20930 DUPONT BLVD, SUITE 101
GEORGETOWN, DE 19947
Dietitian, Registered
20930 DUPONT BLVD
GEORGETOWN, DE 19947
Thoracic Surgery (Cardiothoracic Vascular Surgery)
20930 DUPONT BLVD, SUITE 202
GEORGETOWN, DE 19947
Clinic/Center (Sleep Disorder Diagnostic)
20930 DUPONT BLVD, SUITE 202
GEORGETOWN, DE 19947
Internal Medicine
20930 DUPONT BLVD, SUITE 101
GEORGETOWN, DE 19947
Nurse Practitioner (Family)
20930 DUPONT BLVD, 101
GEORGETOWN, DE 19947
Nurse Practitioner
20930 DUPONT BLVD
GEORGETOWN, DE 19947
Internal Medicine
20930 DUPONT BLVD, SUITE 202
GEORGETOWN, DE 19947

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Plastic Surgery, P.C.'s NPI number?

The NPI number for Peninsula Plastic Surgery, P.C. is 1396991675. It was assigned to this organization in the NPPES registry on August 18, 2008.

Where is Peninsula Plastic Surgery, P.C. located?

Peninsula Plastic Surgery, P.C. is located at 20930 Dupont Blvd 201 Gray Stone Towers, Georgetown, DE 19947. The listed phone number is (410) 546-0464.

What is Peninsula Plastic Surgery, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Peninsula Plastic Surgery, P.C. was last updated on September 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.